{"id":1225,"date":"2022-11-29T10:59:21","date_gmt":"2022-11-29T13:59:21","guid":{"rendered":"https:\/\/jamesalbiero.com.br\/consulting\/"},"modified":"2023-03-22T17:12:27","modified_gmt":"2023-03-22T20:12:27","slug":"consulting","status":"publish","type":"page","link":"https:\/\/jamesalbiero.com.br\/en\/consulting\/","title":{"rendered":"Consulting"},"content":{"rendered":"\t\t
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Get to know our consultancy<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The hospital consulting, directed to the chain of use of medicines, general medical materials and for orthosis, prosthesis and special high-cost materials (OPMEs) and stewardship of antimicrobials, aims to identify technical-administrative weaknesses in the processes involved through a detailed diagnosis through indicators, and to present customized solutions in addition to planning, training and executing corrective measures of short, medium and long term with the intent of maximizing results.<\/p>

THE FOLLOWING WORKS ARE PREDOMINANT<\/strong><\/p>

  • Identifying and solving inconsistencies in the chain of medicine use, general medical materials and OPMEs<\/li>
  • Implementing organizational 5S and PDCA programs<\/li>
  • Stock logistics<\/li>
  • Technical\/financial integration on the sectors involved with pharmacy technologies<\/li>
  • Working with indicators and goals<\/li>
  • Structuring technical\/administrative processes of the pharmaceutical sector, including clinical pharmacy and therapeutic protocols<\/li>
  • Implementing an antimicrobial stewardship program (fully or partially), prevailing:<\/li>
  • Antimicrobial consumption indicators<\/li>
  • Empirical therapy against most prevalent infections<\/li>
  • Individualized dosage by \u201cPK\/PD\u201d and serum dosage<\/li>
  • Sensitivity profile of the main pathogens<\/li>
  • Sequential antimicrobial therapy<\/li>
  • Guidance of surgical antibiotic prophylaxis<\/li>
  • Auditing antimicrobial prescriptions providing feedback

    <\/li><\/ul>

    Some results of consultations carried out in hospitals in Brazil<\/p>

    Management processes<\/strong><\/p>

    • Implementation of computer-based systems integrating clinical and administrative departments<\/li>
    • Implementation of an achievable stock logistics<\/li>
    • Control of costs and profitability of pharmaceutical supplies<\/li>
    • Establishment of technical and financial quality indicators<\/li>
    • Institution of individualized dispensation of medicines<\/li>
    • Elaboration and implementation of treatment protocols for the main infections treated in the ICU<\/li>
    • Implementation of vancomycin and aminoglycosides therapy guided by serum and PK\/PD measurements<\/li>
    • Standardization of injectable drug kits<\/li>
    • Dispensing and control of drugs, medical materials and special high-cost materials in surgeries<\/li>
    • Creation of the Comission of Pharmacy and Therapeutics<\/li>
    • Implementation and maintenance of the 5-S organizational project

      <\/li><\/ul>

      Measurable results<\/strong><\/p>

      Reduction in use (%)<\/p>

      • 49% of prophylactic cefazolin in surgeries<\/li>
      • 29% of meropenem, reducing daily doses, treatment time and de-escalation<\/li>
      • 24% of IV medications (switch to oral)<\/li>
      • 36% of the pump sets used in the infusion of \ua7b5 -Lactams antimicrobial<\/li>
      • 32% of linezolid, transferring to vancomycin guided by TDM<\/li>
      • 42% of stress ulcer prophylaxis<\/li><\/ul>

        \u00a0
        <\/strong>Increase in use<\/strong>:<\/p>

        • 47% of therapeutic protocols.<\/li>
        • >90% of surgical antibiotic prophylaxis protocols.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

          Get to know our consultancy The hospital consulting, directed to the chain of use of medicines, general medical materials and for orthosis, prosthesis and special high-cost materials (OPMEs) and stewardship of antimicrobials, aims to identify technical-administrative weaknesses in the processes involved through a detailed diagnosis through indicators, and to present customized solutions in addition to […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-1225","page","type-page","status-publish","hentry"],"yoast_head":"\nConsulting - James Albiero PhD<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jamesalbiero.com.br\/consultorias\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Consulting - 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